Individual
LACEY FULLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMT
Contact information
Practice address
8 JESSE ROBBINS RD STE D, BELFAST, ME 04915-7510
(207) 250-3169
Mailing address
8 JESSE ROBBINS RD STE D, BELFAST, ME 04915-7510
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MT7533
ME
Other
Enumeration date
06/05/2025
Last updated
12/02/2025
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